You can accelerate your check in process by downloading, printing and completing the forms below before you have your first office visit.
These forms must be printed and completed by hand and cannot be transmitted electronically. If you wish to send these forms to our office in advance of your first visit, we strongly recommend that you use a shipping method with tracking, such as FedEx, UPS, or DHL. All forms should be mailed to our Marina del Rey office. Dr. Stevens' patients should direct their forms to the attention of Charlie Sheridan and Dr. Stoker's patients should direct their forms to the attention of Christi Carni.
To view these forms you must have Adobe's Acrobat Reader.
Forms for All New Patients
- Patient Information Form
- Medical History
- Patient Acknowledgement of Receipt of Provider's Notice of Privacy Practices
- Cancellation Policy for Office Procedures and/or Surgery
Forms for Breast Surgery Patients
- Breast Evaluation Questionnaire
- Breast Reduction Questionnaire
- Instructions for Sending in Your Breast Surgery Photos
Forms for Rhinoplasty Patients
While you fill out forms for us, we have an offer for you. It's our free eBook, available for you to download and review at your leisure. It contains information about preparing for surgery and your recovery, and it just may help you feel more ready when your big day comes.
